Organization
CATHERINE B EVANS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE B EVANS DDS (DENTIST)
(910) 893-5721
Entity
Organization
Contact information
Practice address
205 W FRONT ST, LILLINGTON, NC 27546-1296
(910) 893-5721
(910) 893-8107
Mailing address
PO BOX 1296, LILLINGTON, NC 27546-1296
(910) 893-5721
(910) 893-8107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8992514
—
NC
Enumeration date
08/10/2006
Last updated
08/22/2020
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